Introduction: After stroke there is evidence that movement-based mindfulness (MBI) programs could improve health and wellbeing in the community. We aimed to explore participant feedback for each arm of the Support After Stroke with group-based classeS (SASS) trial.
Methods: SASS, a Phase II feasibility randomised controlled trial, compared a weekly MBI intervention to an attention control program (lifestyle education with socialisation) for 12 weeks in people ~12-18mths after stroke. This mixed-methods process evaluation included satisfaction surveys (all) and online focus groups/interviews with purposively selected participants (n=5 MBI, n=5 control). Descriptive analysis for quantitative data, inductive thematic analysis for qualitative data.
Results: Participation was similar by group: MBI (N=17) median 10 classes (Q1:9, Q3:12), attention control (N=18) median 11 classes (Q1:9, Q3:11). Class sizes ranged from 2-5 participants. Satisfaction surveys were completed by 16/17 MBI (69% male, median age 68) and 15/18 attention control (73% male, median age 74). Participants enjoyed the classes (100% agreement) and would recommend to others (MBI 100%, attention control 93%). Participants in the attention control group considered some education topics beneficial, however, the social interactions and shared learning from lived experiences of stroke were the greatest benefits. Participants in the MBI group enjoyed the movement and meditation aspects of the yoga classes, and overall reported a more positive life outlook, encouragement to try new things, and reduced anxiety and stress. Both groups recommended having larger classes for social interactions.
Conclusion: The process evaluation findings highlight the importance of group-based community programs for people with stroke.